DR. KRIS ALAN JOHNSON (NPI# 1033138565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033138565 |
| Entity Type | Individual |
| Full Name | DR. KRIS ALAN JOHNSON |
| Credential | M.D. |
| Practice Address |
155 Van Gordon St Suite #395 Lakewood CO 80228-1709 |
| Practice Telephone | 3039142680 |
| Mailing Telephone | 3039142680 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
039337 | CO | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 39337 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 95052321 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881894137 | Kris David Johnson | Dentist | 11800 Aberdeen St. Ne, Suite 140, Blaine, MN 55449 | 2007-07-24 |
| 1225132236 | Kris Johnson | Pharmacist | 8601 W Main, Belleville, IL 62223 | 2006-09-11 |
| Street Address |
155 VAN GORDON ST SUITE #395 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639196462 | Barbara Ann Wisott | Social Worker | 155 Van Gordon St, Suite 395, Lakewood, CO 80228-1709 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679095350 | Jean Rhadenie Hernandez Montes | Family Medicine | 3300 E South St Ste 305, Lakewood, CA 90805-4595 | 2017-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870163 | Scott Ross | Family Medicine | 4201 Pinion Dr, Usaf Academy, CO 80840-4000 | 2019-09-12 |
| 1467019364 | Keshea Desmornes Rouse | Family Medicine | 1380 E Fillmore St Ste 100, Colorado Springs, CO 80907-6464 | 2019-05-26 |
| 1881173953 | Erin Hameroff | Family Medicine | 3460 S Federal Blvd, Englewood, CO 80110-1967 | 2018-08-09 |
| 1952819450 | Colorado Senior Provider Network | Family Medicine | 2221 E Arapahoe Rd Unit 3728, Centennial, CO 80161-5079 | 2018-01-18 |
| 1518489087 | Colorado Pain Relief of Colorado Springs Inc | Family Medicine | 1304 N Academy Blvd Ste 209, Colorado Springs, CO 80909-3318 | 2017-07-17 |
| 1871907089 | Kari Coffey | Family Medicine | 311 W. 14th Street, Pueblo, CO 81003-2710 | 2014-06-16 |
| 1891131173 | Floyd J. Miller | Family Medicine | 5315 Topaz Dr, Colorado Springs, CO 80918-2435 | 2013-05-14 |
| 1376819433 | Julie Doris Jacobs | Family Medicine | 4800 Baseline Rd Ste D106, Boulder, CO 80303-2643 | 2012-03-22 |
| 1134367410 | David Kim Allred | Family Medicine | 5880 Hwy 67 South, Florence, CO 81226 | 2009-01-26 |
| 1952547127 | Occmed Colorado | Family Medicine | 3449 B Chambers Road, Aurora, CO 80011 | 2008-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.